NCG060003_MONITORING INFO_20190606

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/VC�C�iS(,OOD�
DOC TYPE
0- /HISTORICAL FILE
LN' MONITORING REPORTS
DOC DATE
❑ a M U � UCo
YYYYMMDD

Kao Specialties Americas LLC
243 Woodbine Street • 110 Bo% 2316 • l ligh Point_ NC 27261 USA
Phone [phone] • Fax [phone]
May 30, 2019
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Ka Q r
Enriching lives, in harmony with nature.
D
JUN � 2019
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER 2 stormwater
sampling for April 2019 at outfall SDO-01. This report complies with the reporting requirements
specified in North Carolina General Permit #NCG060000.
KSA did not have a representative storm event in the month of April so no flow is recorded for outfall
SDO-01.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Simcox
Manager — Health, Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Lncl (2)

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted
CERTIFICATE OF COVERAGE NO, NC606 0 0 0 3
FACILITY NAME KaoSpecialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. if
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or ❑■ Monthly' April (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply RSA
❑Other
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfoll a or 0 No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TS5,
mg/L
pH,
Standard units
CDC,
mg/L
Oil and Grease,
rl
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or Sir
within 6.0 — 9.0
120
30
10001
Soo,
Parameter Code
C0530
00400
00340
00556
31616
61211
SDO-001
No Flow
-
-
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -Site rain gauge.
' For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table I, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑I� no (if yes, complete Part B)
Permit Date:11/1/2018-0S/31/2021
SWII-249, Last Revised 11/5/2018
Page 1 of 2

J%.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
imo/dd/yr]
24-hour rainfall amount,
Inches
New Motor Oil or
Hydraulic Oil Usage
Non -Polar 08G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
15 mg/L
100 mg/L or 50 mg/O
Parameter Cade
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
'FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original cape of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
161-1 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment fo nSoM in olations."
Signature of Permittee Date
Permit Date: 11/l/2018-OS/31/2021 SWU-249, Last Revised 11/5/2018
Page 2 of 2

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted Apnl 17, 2019
CERTIFICATE OF COVERAGE NO. NCG06 0 0 0 3
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Jonathon Purdy
LABORATORY R&A Analytical Laos Lab Cert. ✓t #34: tl37701
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD Q Jan -June ❑ July-DeC
or ❑ Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout
❑Zero -flow ❑Water Supply
❑Other Class C
❑PNA
❑SA
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event roinfoll 10 2- or ❑ No discharge this period'
Outfall No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
Enterococci,
Colonies per 100 ml
Benchmark
100 or SO4
Within 6.0 — 9.0
120
30
1000'
Soo,
Parameter Code
C0530
00400
00340
00556
31616
61211
SDO-001
311 bad 19
12,7
7.67
53
<5
-
-
Soj-lxJ2
3/15/2019
10 3
763
48
< 5
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
I For sampling periods with no discharge at Lny outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ■❑ no (if yes, complete Part l
Permit Date: 11/112018.05/31/2021
SWU-249, Last Revised 11/5/2D18
Page 1 of 2
APR 1 3 2019
,_ CI TRAL FILES
OWR SECTION

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month-
Outfall No.
Date Sample Collected
Imo/dd/yr)
24-hour rainfall amount,
Inches
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
15 mg/L
100 mg/L or 50 mg/0
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part B
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCF TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ No Q
IF YES, HAVE YOU CONTACTED THE OEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mai! an original copy of this DMA?, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case
of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, a curate, an complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprison t f cn ing violations."
gnat a of Perml a Date
Permit Date: 11/1/2018-05/31/2021 SWU-249, Last Revised 11/S/2018
Page 2 of 2

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
l orguidance on filling out this form, please visit https://deq.ne.gov/about/divisions/energy-minera]-land-resources/
npdes-stormwater-gps
Permit No.: NICI I I I I / I I or Certificate of Coverage No.: NICIG/ 016/0 /V / U/ 31
Facility Name. Kao Specialties Americas LLC G U
County: Guilford /� Phone No. _3 3 (a_ — p � 7� r` — r � �^
Inspector: J Dr► A f-' A n t'U r �']t
Date of Inspection: 3 13
Time of Inspection: i f `.'3 o A ron
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
3 1 1.s
(Signatge of Permittee or Designee)
1. Outfall Description:
OutfalI No. I Structure (pipe, ditch, etc.): ; 9 -
Receiving Stream: lGLnn.t<l ,,�.,' 1I er,e-1C
Describe the industrial activities that occur within the outfall drainage area: C,ra
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: I : �) h+
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): e
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
I © 3 4 5
5. Floating Solids. Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
10 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
V 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No.
S. Is there an oil sheen in the stormwater discharge? OYes 6Z No.
9. Is there evidence of erosion or deposition at the outfall? o Yes m No.
10. Other Obvious Indicators of}}Stormwater Pollution:
List and describe Sec c 2,
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWIJ-242, Last modified 00/01/2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling oul this form, please visil https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/ 1 I I l I 1 I or Certificate of Coverage No.: NIC/GIO/6 /O /01 013 1
Facility Name: Kao_Specialties Americas LLC
County: Guilford n Phone No. 336 - 87$_ y3 1Z-
Inspector: �Ot1 A 41,1 f t,f�-Y
Date of Inspection: 3% j5 J j 5
Time of Inspection: ! f v
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Off ice.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signatuic of Perm ittee or Designee)
1. Outfall Description:
Outfall No. Structure (pipe, ditch, etc.): P:
Receiving Stream: (cre Air-) iv`An`�, 1'yi ll
Describe the industrial activities that occur within the outfall drainage area: A I vn Ppg
Page l of 2
5WU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 12h} b 1-4G
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): ''} 0.1
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 (?� 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? o Yes Z No.
8. Is there an oil sheen in the stormwater discharge? C)Yes 0 No.
9. Is there evidence of erosion or deposition at the outfall? O Yes d No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe r) o 221 L:-s
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 00/0 1/20 19

STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000
Date submitted March 29, 2oi9
CERTIFICATE OF COVERAGE NO. NCG06 0 0 0 3 SAMPLE COLLECTION YEAR 2019
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilrord SAMPLE PERIOD ❑Jan -June ❑July -Dec
PERSON COLLECTING SAMPLES or 9Monthlys February (month)
LABORATORY Lab Cert. s © tIDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
APR i NIS ❑Other
.FACILITY ACTIVITIES INCLUDE (check all that apply):
..� ❑use/process meats ❑use animal fats/byproducts
PLEASE REMEMBER TO SIGN ON THE REVERSE -)
Part A: Stormwater Benchmarks and Monitoring Results Tom) event rainfall' or ❑■ No discharge this period'
Outfafl No.
Date Sample
Collected, mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD.
mg/L
Oil and Grease,
mg/L
Fecal Coliform,
Colonies per 100 ml
EnteraCOCCI,
colonies per 100 ml
8erichmark
100 or SO'
within 6.0- 9.0
120
30
1000'
500'
Parameter Code
COS30
00400
0o340
00556
31616
61211
S130-0I
No Flmr
' Only applies to facilities that use/process meats.
'The total precipitation must be recorded using data from an on -site rain gauge.
'for sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
sMonthly sampling {instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes ❑ no (ifyes, complete Part B)
Permit Date: 11/l/2018-05/31/2021 SWU-249, Last Revised 11/S/201g
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Date Sample Collected
(mo/dd/yr)
24-hour rainfall amount,
Inches
New Motor Olt or
Hydraulic Oil Usage
Non -Polar O&G/Total
Petroleum Hydrocarbons
Total Suspended Solids
Benchmarks
-
-
15 mg/L
100 mg/L or 50 mg/O
Parameter Code
-
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to Part 8
`FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART tI SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original Copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results [or at end of monitoring period,in the case
of No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED.,
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
March 29, 2019
Date
SWU-249, Last Revised 11/5/2018
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 01/28/2019
CERTIFICATE OF COVERAGE NO. NCG060003 RECEIVEEIAMPLE COLLECTION YEAR 2018
FACILITY NAME Kao Specialties Americas LLC FEB 0 6 2019 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES n/a (_'ENrPAL FILE DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34 " %VR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 2 0.4" or ❑ No discharge this period'
Outfall No.'
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
' Within 6.0 — 9.0
120
30
1000
506
SDO-01
No Flow
SDO-02
No Flow
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark'
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at Any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
S W U-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports within 30 da s o recei t o the lab results or of end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of
_01/282019
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 12/20/2018
CERTIFICATE OF COVERAGE NO. NCG060003 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Kao Specialties Americas LLC FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES n/a DISCHARGING TO SALTWATERS? []YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall 20.4" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococcil,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow;�-
JAN 0 2 nia
Only applies to facilities that use/process meats.
.. vc: i 1UN
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at M outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ifyes• complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR,_including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of PermitteL41
_12/20/2018
(Date)
Additional copies of this form may be downloaded at: htt ortal.ncdenr.or web w ws su n dessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 oF2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Resources General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060 0 0 7
Date submitted 11r3W2018
SAMPLE COLLECTION YEAR 2018
FACILITY NAME Keystone Foods FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Rockingham ❑® use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Tina Williams P : I`�FISC�HARGING TO SALTWATERS? []YES *NO
LABORATORY Meritecn Lab Cent. # 165
tL 12 2018 PLEASE REMEMBER TO SIGN ON THE REVERSE 4
-EN ;-ILL FILES
Part A: Stormwater Benchmarks and Monitoring Results r)VJR SECTION Total event rainfa!! .57 or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
Outfall #1
11/09/18
54
7.01
108
<5
<9
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes 0 no
Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18,2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
C 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ No ❑®
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of
monitoring period in the case o "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee
G 2-06
(Date)
Additional copies of this form may be downloaded at: h"p://Portal.ncdenr.orp/web/wq/ws/su/npdessw#tab-4
S W U-249
I.,ast Reviscd: October 18. 2012
Page 2of2

Contact: Tina Williams
Client: Keystone Foods
P.O. Box 1436
Reidsville, NC 27320
Merltech, Inc.
Environmental Laboratory
Laboratory Certification No.165
Report Date: 11/21/2018
Date Sample Rcvd: 11/9/2018
Meritech Work Order # 11091814 Sample: Stormwater 1. Grab
11/9/1.8
parameters
Resul
Analysis Date Reporting
Limlt
Method Qualifie
COD
108 mg/1,
11/16/18
15 tng/L
EPA 410.4
Total Suspended Solids
54 mg/L
11/14/18
2.5 mg/L
SM 2540 D
Ammonia, Nitrogen
0.4 mg/l.
11/20/18
0.1 mg/L
EPA 350.1
Oil & Grease (HUM)
<5 mg/L
11/12/18
5 mg/L
LPA 1664B
Fecal Coliform
<9 col/100 m]
11/9/18
9 col/1.00 ml
SM 9222 D
PH
7.01 S.11.
11/9/18 1.0 - 14.0 S.U.
SM 4500-HB 137
B7 Many non-coliform colonies or interfering non-coliform growth present. In this competitive situation, the
reported coliform value may under -represent actual coliforn:i density.
l hereby certify that I have reviewed and approve these data. �?-"�
Laboratory Representative
642 Tamco Road, Reidsville, North Carolina 27320
tel.[phone] fax.[phone]

are„a Chain of Custody Record (COC)
l ^ - NPDES#:
Client: Phone:
Address: Fax:
/-�`�C�i t..�-ti1f' Email:
Project:
P.O.#:
Attention: i '' Turn. Around Time*
*RUSH work needs prior approval,
How would you like your report sent? arges a of
Std 10da s) 0 s 24-48Hrs
Circle all that apply: Email ;preferred) , Fax, Mail E
j
"' ERITECK INC.
Z±aENVIRONMENTAL LABORATORIES
642 Tamco Rd. Phone: [phone]
Reidsville NC 27320 Fax: [phone]
Email: [e-mail]
www.meritechlabs.com
Sample Location and/or ID #
Sampling Dates &Times
Person Taking Sample (Sign/Print):
Lab Use only
Start
End
comp'
Grab.
#of
Cont.
�; Test(s)
K�, 4 $�,
Required u i red
on
/ Na
p" OK?
CI OK?
Date
Time
Date
Time
j
"
_SS
te�C�9fk'
AI
I
Temperature Upon
Receipt: V�
Method of
Shipment:
Dechlorination
(c0.5 m) of Ammonia, Cyanide, Phenol and TKN samples must be done in the field prior to preservation. ***
Comments:
r,1 t f)nW WUAJ Ju+P, Cwrtr6 V-j hlcvi
L%L�-�
Compositor #
�& UPS
Jug#
Fed Ex
Are thege re Its for regulatory purposes? Yes C.7No Qi
Report results in: mg/L [}i mg/kg?
ug/L
ff GG
`T Hand Delivery
Relinquished by: jj�� D te:. Time:
Z(
Received by: } __
s Date: Time:
Other
Relinquished b . Da e: _( Time: J ( gin
` `
eceived by: Date: Time:
Relinquished by: Date: Time:
Recef aOZ i Time:,
P1
U� o

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORREopIN 17D
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 10/30/2018 f�Q�' 1 {$
CERTIFICATE OF COVERAGE NO. NCG060003
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES n/a
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
CI~N i MAL FILES
SAMPLE COLLECTION YEAR 2018 OWR SECTnN
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z 0.4" or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci I,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at a�ny outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L ,
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permitt4)
_10/30/2018
(Date)
Additional copies of this form may be downloaded at: http-.I/portal.ncdenr.org/web/wg/ws/sulnpdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 09(27/2018
CERTIFICATE OF COVERAGE,NO. NCG060003 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Kao Specialties Americas LLC � FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford "'el ��� .w ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES n/a O❑' DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34
CE_N i r"'" r °LE S PLEASE REMEMBER TO SIGN ON THE REVERSE -i
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
Total event rainfall Z 0.4" or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococa ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH, -
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at qny outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(i_f yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR -PART A AND PART B MONITORING RESULTS:
A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of recent of the lab results.(or_ at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee
_09/27/2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
RECc �• Dates submitted 08/30/2018
F� t7•I_
CERTIFICATE OF COVERAGE NO. NCG060003 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Kao Specialties Americas LLC SEP 05 N 8 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford --EN ; VIP L riLE'1 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES n/a ":'; ;1. SLC_ DISCHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE --)
Total event rainfall 20.4" or ❑ No dischorge this period3
Outfall. No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(If yes, complete Part Bj
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permi
_08/30/2018
(Date)
Additional copies of this form may be downloaded at: http:/Zportal.ncdenr.org/web/wq/ws/su/nodessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 07/30/2018
CERTIFICATE OF COVERAGE NO. NCG060003 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Ka o Specialties Americas LLC CILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford RECEIVE ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES n/a AUG 02 20160ISCHARGING TO SALTWATERS? [_]YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Total event rainfall 20.4" or ❑ No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
S00
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART tl SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE: CONTACT NAME:
Mail an original and one copy of this DMR including all "No Discharge" reports, within 30 days -of receipt of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permittee)
_07/30/2018
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orglweb/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18. 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 6 29 2018
CERTIFICATE OF COVERAGE NO. NCGO60003
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES n/a
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
�y ECE �� SAMPLE COLLECTION YEAR 2018
R FACILITY ACTIVITIES INCLUDE (check all that apply):
JUL 4 5 2018 ❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
CE VTR ,t,
C'v`J
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfoll z 0.4" or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonles per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or SO4
Within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if Yes, complete Part B)
S W U-249 last Revised: October 18, 2012
Page l of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES []NOCA
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 don of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
ji
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
G �Z 7c�
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October IS, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted 513012018
CERTIFICATE OF COVERAGE NO. NCG060003 SAMPLE COLLECTION YEAR 2018
FACILITY NAME Ka_ o Specialties Americas LLC q� ITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford REC ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES Robert Zaborowski JUN U 5 ZRI§CHARGING TO SALTWATERS? ❑YES ®NO
LABORATORY R&A Laboratories Lab Cert. # 34
Part A: Stormwater Benchmarks and Monitoring Results
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
IDWR SECTION
Total event rainfall Z 0.4" or ❑ No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-01
No Flow
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at �U outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B}
SWU-249 Last Revised: October 18, 2012
Page I of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within_ 30 days of receipt of the lab results for at end of
monitoring period in the case of "No Discharge" reports)to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Permiitee)
J—3 0
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG
CERTIFICATE OF COVERAGE NO. NCGO60003
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES Robert Zaborowski
LABORATORY R&A Laboratories Lab Cert. ## 34
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted 4 24 2018
ECEIVED
APR 3 0 2w
SAMPLE COLLECTION YEAR 2018 CENTRAL FILES
FACILITY ACTIVITIES INCLUDE (check all that apply) MIR SECTION
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SAI_TWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall Z0.4" or ❑ No discharge this period
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-01
3/6/2018
108
7.1
38
Not Required
Not Required
Not Required
SDO-02
3/6/2018
20.8
6.6
28
Not Required
Not Required
Not Required
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if)es, complete Part Bj
5WU-249 Last Revised: October 18, 2012
Page 1 of 2

IN
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an on inal and one copy of this DMR including all "No Discharge" reports, within 30 days of recei t of the lab results or at end o
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
ZI2
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orglweywg/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
April 24, 2018
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Ka 02
Enriching lives, in harmony with nature.
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER One
stormwater sampling for March 2018. This report complies with the reporting requirements specified
in North Carolina General Permit 9NCG060000.
In sampling conducted in January, 2018, one outfall (SDO-I) had a result exceeding the benchmark
value for COD and TSS. As noted in the attached report, Kao Specialties experienced another
exceedance of TSS in the discharge from SDO-01 which triggers TIER 2 response.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. St cox
Manager — Health. Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl (4)
LISPS Certified Mailer 47015 3430 0000 7920 0218

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr. state. nc.uslsu/Forms Docurnents.htm#miscforms
Permit No.: NICI_I_I I I 1_I_I or Certificate of Coverage No.: NICIGIO/_U V lQ/
Facility Name: iGGy S Pic ; c < < f p S �w+ pr c ti ._. l.,l.,.,.L
County: G-� I �-^c e Phone No. - -3 i a'— t-I3 i 2—
Inspector:
Date of Inspection: _ i_c��_7 0 +
Time of Inspection: 13J T
it
Total Event Precipitation (inches): C"--,) I
Was this a Representative Storm Event? (See information below) UW, ❑ No
Please check your permit to verify if Qualitative Monitoring must be performed during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that Y
is preceded by at least 72 hours Q days) in which no storm event measuring greater than 0.1 inches has
occurred. A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signature,rl e , ' that this report is accurate and complete to the best of my knowledge:
Hof Permittee 9/Designee)
1. OutfallIDcription:
Outfall No. (. Structure (pipe, ditch, etc.) [�
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, own, blue, etc.) and tint
(light, medium, dark) as descriptors: Z 6T /-Iro U, t--
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): /A/0 A/ G
Page I of 2
SWU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear
and 5 is very cloudy:
1 %`� 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
1 6 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where i is no solids and 5 is extremely muddy:
l 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
8. Is there an oil sheen in the stormwater discharge? Yes L`.:Y
9. Is there evidence of erosion or deposition at the outfall? Yes C)
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5wU-242-112608

Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http://h2o.enr.state.ne.us/su/Porms Documents.htm#miscforms
Permit No.: NICI_I 1 I_I_I_ITI or Certificate of Coverage No.: NIC/G/ UI (mil GI U/U 131
Facility Name: I44 u S j2oc , i r p L L C—
County:-rct Phone No.
Inspector: 2 JU e0il'd Lil_f Z. � „_,.., .....
Date of Inspection: 3 t, zu t a'
Time of Inspection: J 3 ' Lto
14 a f i
Total Event Precipitation (inches): b, V "r
Was this a Representative Storm Event? (See information below) Yes No
P ❑
Please check your permit to verify if Qualitative Monitoring must be per during a representative
storm event (requirements vary).
A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that
is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0,1 inches has
occurred. --.A single storm event may contain up to 10 consecutive hours of no precipitation.
By this signata ' ertify that thisr6port is accurate and complete to the best of my knowledge:
of Perpi6ee or Designee)
1. Ou�l�escription:
Outfall No. Structure (pipe, ditch, etc.) 1
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
2. Color: Describe the color of the tscharge usm basic co
(fight, medium, dark) as descriptors: Je, Nt (L /y
(red, brown, blue, etc.) and tint
I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): A10 WC
Page I of 2
S WU-242-112608

4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
1 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwatcr discharge, where 1 is no solids and 5 is the surface covered with floating solids:
1 /2J 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes
9. Is there evidence of erosion or deposition at the outfall? Yes No
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosionldeposition maybe
indicative of pollutant exposure. These conditions warrant further investigation.
11agc 2 of 2
SWU-242-112608

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • Nigh Point, NC 27261 USA
Phone [phone] • Fax [phone]
January 26, 2018
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Ka Q r
Enriching !Ives. in harmony with nature.
RECEivED
JAIL 31 2013
rWRRAL FILES
SECTION
Attached you will find the Kao Specialties Americas LLC biannual report covering stor rwater
sampling for the second half of 2017. This report complies with the reporting requirements specified
in North Carolina General Permit 9NCG060000.
(-,ov0.3
As noted in the attached report, two parameters for SDO-1 tested above the specified benchmark
values (TSS and COD). We have flagged this outfall for TIER 2 monitoring. Additionally, pH was
not tested for the sample taken from SDO-2. This resulted from a management failure to provide
adequate instructions for sampling. We will correct the management system for sampling stormwater
and will test this at the first opportunity.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Simco
Manager — Health, Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl (3)
USPS Certified Mailer #7015 3430 0000 7920 004E

Individual NPDES Permit No. NC
Certificate of Coverage (COC) No. NC
STORMWATER DISCHARGE OUTFALL (SDO)
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Calendar Year Z.J ► 7
or
This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPP.
Facility Name: ec , c. G4 rnP e i c ct S L L C-
County: emu. FUr
Phone Number: (33U) 'TT ,y - Y 31 Z-- Total no. of SDOs monitored
Outfall No. 50U_ I
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ NofS
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No N
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No [�
;Parameter, .(units
Total -
RamfallSS 7
inches
Benchmark N/A j00 L) ZU:..,
`Colle
I zl'7o),1 I n q74 1 / u Ca I t' -5? 1 1 L-] Co 1 L s— 1 1 1 1 1
SW U-264-Generic-13Dec2012

Additional Outfall Attachment
Outfall No. 5` c>-2-
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No
If this outfall was in Tier 2 last year, why was monthly monitoring discontinued?
Enough consecutive samples below benchmarks to decrease frequency ❑
Received approval from DWQ to reduce monitoring frequency ❑
Other ❑
Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No
r
Paramei
k
G-
Benchmark I N/A
i 2-7o Z o. 3� �L1. v1. Z i7 5'
;;{units)
F � b
'_
SW U-264-Generic-13Dec2012

I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person
or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the
best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of
Signature
Date d2G wr"L
and imprisonment for knowing violations."
For questions, contact your local Regional Office:
DWQ Regional Office Contact Information:
2090 US Highway 70
Swannanoa, NC 28778
[phone]
3800 Barrett Drive
Raleigh, NC 27609
[phone]
FAYETTEVILLE REGIONAL OFFICE
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
910) 433-3300
WA_SHINGTON REGIONAL OFFICE
943 Washington Square Mall
Washington, NC 27889
[phone]
MOORESVILLE REGIONAL OFFICE
610 East Center Avenue/Suite 301
Mooresville, NC 28115
[phone]
WILMINGTON REGIONAL OFFICE
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
[phone]
WINSTON-SALEM REGIONAL OF_FIC_ E CENTRAL OFFICE
585 Waughtown Street 1617 Mail Service Center
To preserve project
Winston-Salem, NC 27107 Raleigh, NC 27699-1617 anBeifharrce,
[phone] [phone] W"Nodh Carolinasivater._:"
SW U-264-Generic-13Dec2012

ALIT; 0; WIF
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidonce on filling out this form, please visit: http:J/portal.ncdenr.org/web/lr/npdes-stormwater/
Permit No.: N/C/�/_/_/�/_/_/_/ or Certificate of Coverage No.:
Facility Name: _ Kc� c 4 m oy(c c S.
County: (,ru , I
Inspector: IM 1 l�
Date of Inspection: Q / 7o/der " I
Time of Inspection: IQ - 0y
Total Event Precipitation (inches): 0. 37, "
Phone No. 33G- $7 8 --zl3i Z_
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Ik Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signature, I ce�fy that this report is accurate and complete to the best of my knowledge:
(Signature of PermitAe or Designee)
Pagel of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. SDv-- I Structure (pipe, ditch, etc.) 4�0 S r
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
rPAenircc 1( MCP 0val(r I:C-r,"r
2. Color: Describe the color of the discharge using basic colors (red, br,
(light, medium, dark) as descriptors: _ r �`,f v 7 �►^� <�� s L+
n, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): n
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
0 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
0 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
91-
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes 0
B. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes (No J
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ( Gl.
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 7/31/2013

��
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: httR//portal.ncdenr.org/web/]r/nodes-stormwaterl
Permit No.: N/C/�/_/_/�/_/_/�/ or Certificate of Coverage No.: N/C/G/ 12
/ 6/ j2/ Q10/3/
Facility Name: Kceg �:peC�a f�,'aS 4^P,m(c.c, S LL.C_
County: 6-� I>lt,✓c) Phone No. 33 G- e-1 L L/ 7/ Z
Inspector: Yt'' 1iL�e-t-3o:7Cj
Date of Inspection:
Time of Inspection
z 01 r `r
0: UU
Total Event Precipitation (inches): 0 - 37 "
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
1� Yes ❑ No
Please verify whether Qualitative Monitoring must he performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By this signaty.re l ce ffy that this report is accurate and complete to the best of my knowledge:
(Signature of PermAtee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No. 3D30- Z Structure (pipe, ditch, etc.)
Receiving Stream:
Describ�}e the industrial activities that occur within the outfall drainage area:
clCr",Ccti MC'v'r-'ciu✓,1�t
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: ! 4— S s p -✓c.c Lr . ! L�
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): 4 CA"\ -e---
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
V2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
9 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
(1� 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfall? Yes Na
10. Other Obvious Indicators of stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 7/31/2013

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
July 28, 2017
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Ka 02
Enriching lives. in harmony with nature.
RECEIVED
AUQ 4 8 2017
CENTRAL FILES
DWR SECTION
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stonnwater sampling for the first half of 2017. This report complies with the reporting requirements
specified in North Carolina General Permit #NCG060000.
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the first half
of 2017. No flow is indicated at both stormwater discharge outflows.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Simcox
Manager— Health, Safety, & Environmental
Telephone: [phone]
Fax:[phone]
e-mail: Patrick. [e-mail]
Encl (2)
LISPS Certified Mailer #7015 3430 0000 7919 9659

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted July 28, 2017
CERTIFICATE OF COVERAGE NO. NCG060003 RECE AH-vE COLLECTION YEAR 2017
FACILITY NAME Kao Specialties Americas LLC FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford AUG 0 Z017 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES _ hF=ni`rr AL IDA'HARGING TO SALTWATERS? ❑YES ®NO
LABORATORY Lab Cert. # PWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall z or ® No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 - 9.0
in
30
1000
Soo
SDO-2
No Flow
SDO-3
No Flow
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 - 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
+ TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receiet of the tab results or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, includng the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
71c%�a/7
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.orR/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

t - r
SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted July 27, 2016
CERTIFICATE OF COVERAGE NO. NCG060003 RECEIVEDSAMPLECOLLECTION YEAR 2016
FACILITY NAME Kao Specialties Americas LLC FEB 0 1 2017 FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford . ❑ use/process meats ❑ use animal fats/byproducts
CENTRAL FILES PERSON COLLECTING SAMPLES r„EM DISCHARGING TO SALTWATERS? [:]YES ®NO
r�,r, ��„-r,
LABORATORY Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE —>
Totol event rainfall 2 or ® No discharge this period'
' Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-,
100 or 50
Within 6.0 -- 9.0
120
30
1000
500
SDO-2
No Flow
SDO-3
No Flow
i Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text,. Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
30
100 or 50
6,o — 9.0
-
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at �jny outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

c
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an ordinal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
il
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of PermiVtee
(Date)
Additional copies of this form may be downloaded at: http://portal,ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
r for North Carolina Division of Water Quality General Permit No. N
CERTIFICATE OF COVERAGE NO. NCG060003
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted July 27, 2016 n I'Z%�eo
SAMPLE COLLECTION YEAR 2016
FACILITY ACTIVITIES INCLUDE (check all that apply).
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO ,
PLEASE REMEMBER TO SIGN ON THE REVERSE �
Total event rainfall z or ® No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-2
No Flow
SDO-3
No Flow
A;ir
n
Only applies to facilities that use/process meats. " " 1 Lul
zThe total precipitation must be recorded using data from an on -site rain gauge. CENu f RAL 911 c�
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitor'TgFreport with a checkmark here.
�"'rq nr
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or SO
6.0 — 9.6
1 Only applies to facilities that use/process meats.
2The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(ff yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART AND PART 0 MONITORING RESULTS:
• ' A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
11
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
7`, Z7-ai G
(Date)
Additional copies of this form may be downloaded at: http./Zportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
Ka O r
Enriching lives, in harmony with nature.
V
July 27, 2016
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
RECEIVED
AUG 01 2016
CF1ti1 i RAL FILES
DtAI,R SECTION
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stortnwater sampling for the first half of 2016. This report complies with the reporting requirements
specified in North Carolina General Permit #NCG060000.
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the first half
of 2016. No flow is indicated at both stormwater discharge outflows.
If you have any questions, please contact me at our offices.
Sincerely
Patrick B. NpAx
Manager — Hea , Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl. (2)
LISPS Ceiifflwd Mailer #7015 3430 0000 7919 9109

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060003
FACILITY NAME Kao Specialties Americas LLC
COUNTY Guilford
PERSON COLLECTING SAMPLES
LABORATORY
Lab Cert. #
Part A: Stormwater Benchmarks and Monitoring Results
Date submitted January 29 2016
SAMPLE COLLECTION YEAR 2015
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? ❑YES ®NO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfoli z or ® No discharge this period"
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100.ml
Enterococci ,
Colonies per 100 mi
Benchmark
-
100 or 50
Within 6.0-9.0
120
30
1000
Soo
SDO-2
No Flow
SDO-3
No Flow
1 Only applies to facilities that use/process meats. %�"l % i `Nr" ` `L_"'
ZThe total precipitation must be recorded using data from an on -site rain gauge.
©WR SECTION
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfal,l No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
z The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
(if yes, complete Part B)
S W U-249
Last Revised: October 18, 2012
Page I of 2

*rdh PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" re arts) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Peri iittee
1 Z4 ZCD,
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws15u(npdessw#tab-4
SWU-249
Last Revised: October 18, 2012
Page 2 of 2

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted July 27, 2015
CERTIFICATE OF COVERAGE NO. NCG060003 ECEI V ED SAMPLE COLLECTION YEAR 2015
FACILITY NAME Kao Specialties Americas LLC FACILITY ACTIVITIES INCLUDE (check all that apply):
COUNTY Guilford JUL 3 0 2 15 ❑ use/process meats ❑ use animal fats/byproducts
PERSON COLLECTING SAMPLES ,aw erg r�rS T., � DISCHARGING TO SALTWATERS? []YES ®NO
-LD
LABORATORY Lab Cert. # ntAIP cS=f^T1f1N
Part A: Stormwater Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Totol event roinfail 2 or ® No discharge this period3
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 mi
Enterococci ,
Colonies per 100 ml
Benchmark
-
100 or 50
Within 6.0 — 9.0
120
30
1000
500
SDO-2
No FLow
SDO-3
No FLow
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100 or 50
6.0 — 9.0
-
1 Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at pny outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
=No==
rMM+■
(if yes, complete Part B)
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Moil an ari final and one copy of this DMR, including all "No Discharge" reports, within 30 days_ of receipt of the lab results (or at end of
monitoring period in the case_ of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Signature of Perm
b 2 7 U / -`
(Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
S W U-249
Last Revised: October 18, 2012
Page 2 of 2

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
July 27, 2015
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Kc`a O2
Enriching lives, In harmony with nature.
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stor nwater sampling for the first half of 2015. This report complies with the reporting requirements
specified in North Carolina General Permit #NCG060000.
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the first half
of 2014. No flow is indicated at both stonnwater discharge outflows.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Simcox
Manager — Health, Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl (2)
LISPS Certified Mailer #7005 1 160 0004 7637 4690

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
For North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted: September 15. 2015
CERTIFICATE OF COVERAGE NO. NCG060020 SAMPLE COLLECTION YEAR 2015
FACILITY NAME Tyson Farms Inc. FACILITY ACTIVITIES INCLUDE (check all that apply):
Wilkesboro Complex ® use/process meats ❑ use animal fats/byproducts
COUNTY Wilkes DISCHARGING TO SALTWATERS? ❑YES ®NO
PERSON COLLECTING SAMPLES James Brown
LABORATORY Prism Labs Lab Cert. # 402
Part A: Storm water Benchmarks and Monitoring Results
PLEASE REMEMBER TO SIGN ON THE REVERSE -->
Total event rainfall Z .40 or ❑ No discharge this period3
Outfall No.
Sample Collected,
Mo./dd./yr.
TS5,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform',
Colonies per 100 ml
Enterococci',
Colonies per 100 ml
Benchmark
-
100 or 504
Within 6.0 — 9.0
120
30
1000
Soo
WILK - 01
8/24/2015
6.38
270
NA
WILK - 02
8/24/2015
6.35
250
NA
' Only applies to facilities that use/process meats.
2 The total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
4See General Permit text,Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ® Yes ❑ no
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
(if yes, complete Part B)
Outfall No.
Sample Collected,
Mo./dd./yr.
Oil and Grease,
mg/L
Non Polar Oil &
Grease/TPH
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
enchmark
-
30
15
100 or 504
6.0 — 9.0
-
' Only applies to facilities that use/process meats.
zThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
SWU-249 Last Revised: October 18, 2012
Paget of 2

4See General Permit text table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
*FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1REQUIREMENTS. SEE PERMIT PART II SECTION B.
2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of
monitoring period in the case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
ft-Raleigh, NC 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is,
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
(Sign ure of Permittee) (Date)
Additional copies of this form may be downloaded at: http://portal.ncdenr.org/web/wq/ws/su/npdessw#tab-4
SWU-249 Last Revised: October 18, 2012
Page 2 of 2

Wilkesboro Storm Water Calu. Sheet
Date 8/24/2015
Rain Begin: 3:30 PM Thunder Storm
Grab Samples: 4:00 PM
Rain at end of
Storm Event: 0.40
Sampling Point # 1 Drainage Area = 140,800 Ft 2
Q = CIA
1 = .40 " (Total)
C = 1.0
Q = 1.0(.40/12)(140,800"7.5)/1,000,000
0.035 MG
Sampling Point # 2 Drainage Area = 578,250 Ft 2
Q = CIA
1 = .40 " (Total)
C = 1.0
Q = 1.0(.40/12)(578,250*7.5)/1,000,000
0.145 MG

��A
���
NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit: http:./.Iportal.ncdenr.org/web/ww u n w#t
Permit No: NZC/G/0/6/0/0/0/0_ or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 8/24/2015
Time of Inspection: 4',DV- rA
Total Event Precipitation (inches):.40
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
Of Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureablestorm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
i
0.1 inches has occurr. d. A single storm event may contain up to 10 consecutive hours of no
precipitation.
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By t ignature, I certify that this report is accurate and complete to the best of my knowledge:
f g
(Sig ture of Permitte r Designee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfzkll Description:
Outfall No. IN. Vk _ ©1 Structure (pipe, ditch, etc.) It Ver
Receiving Stream:'J(V\nmei 1C'•�o y �a �� (���-4C _
Describe the industrial activities that occur within the outfall drainage area: U\Sc- hvwL cwc-
Sc'cv:Cx -het
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: `51
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): ►J%0 Af-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Ill 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 3 4 5
7. Is there any foam in the stormwater discharge? Yes o
B. Is there an oil sheen in the stormwater discharge? Yes o
9. Is there evidence of erosion or deposition at the outfall? Yes 00
10. Other Obvious Indicators of Stormwater Pollution: '
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
5WU-242, Last modified 10/25/2012

NCDENR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: http;.14pQrrtal.ncdenr.00rg/web/wgLws/suInpdessw#tab-4
Permit No: N/C/G/O/6/_../0/0/0 or Certificate of Coverage No. N/C/G/0/6/0/0/2/0
Facility Name: Tyson Farms Inc.
County: Wilkes
Phone No: 336.838.2171
Inspector: James Brown
Date of Inspection: 8/24/2015
Time of Inspection: W o) f v)
Total Event Precipitation (inches):` .40
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
VYes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
event" or "measureable storm event" (requirements vary, depending on the permit).
Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a "representative storm event" or during a "measureable storm event." However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall
and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than
0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no
i
precipitation. f
A "measurable storm event" is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By t V ignature, I/certify that this report is accurate and complete to the best of my knowledge:
(Sign / ure of Permittee 11
esignee)
Pagel of 2
SWU-242, Last modified 10/25/2012

1. Outfall Description:
OW' utfall No. "<`n a Structure (pipe, ditch, etc.)
Receiving Stream: 1, AACLYY►ela ' Tt � b 4d Cttio eLe-y-
Describe the industrial activities that occur within the outfall drainage area:
FFnL ar ej2,
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: , L•g'K k
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): NoftC-
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
4 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in
the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
G1 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended
solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
7.
8.
9.
V 2 3
Is there any foam in the stormwater discharge?
4 5
Yes
Is there an oil sheen in the stormwater discharge? Yes
Is there evidence of erosion or deposition at the outfall? Yes C)N
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition
may be indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 10/25/2012

4
o�
LRRISM
LABORATORIES,INC
Full -Service Analytical 8
Environmental Solutions
Tyson Foods, Inc. -Wilkesboro, NC
James Brown
704 Factory Street
Wilkesboro, NC 28697
NC Certification No. 402
SC Certification No. 99012
NC Drinking Water Cart No. 37735
VA Certification No. 460211
DoD ELAP: L-A-13 Accredited Certificate No. L2307
ISO/I EC 17025: L-A-13 Accredited Certificate No. L2307
Project: Stormwater
Lab Submittal Date: 08/25/2015
Prism Work Order: 5080447
Case Narrative
09/09/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
Reviewed By Terri W. Cole
Project Manager
X
HT Sample received and analyzed outside of the hold time.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except In its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1.11001529-6364 - Fax: 704IS25-0409 Page 1 of 5

Full -Service Analytial 9 Sample Receipt Summary
LB'R,,
I S M Environmental Sorutclonn 09/09/2015
Prism Work Order: 5080447
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
SW Wilk-01
5080447-01
Water
08/24/15
08/25/15
SW Wilk-02
5080447-02
Water
08/24/15
08/25/15
Samples were received in good condition at 1.0 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 7WS29-6364 - Toll Free Number: 1-806/629-0364 - Fax: [phone] Page 2 of 5

niee Analytical a
Laboratory Report
PR%ISM Environmental Solutions 09109I2015
ra
we
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater
Client Sample ID: SW Wilk-01
Attn: James Brown
Prism Sample ID: 5080447-01
704 Factory Street
Prism Work Order: 5080447
Wilkesboro, NC 28697 Sample Matrix: Water
Time Collected: 08/24/15 16:00
Time Submitted: 08/25/15 13:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datefrime ID
Microbiological Parameters
Fecal Colifonme 270 HT CFU1100 ml 2 1 •SM9222 D 8126116 14:58 EGC P5H0480
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543
Phone: [phone] - Toll Free Number: 1-800152M364 - Fax: [phone] Page 3 of 5

IL Fult-Service Analytical S
I Environmental Solutions
7�re�Es
Laboratory Report
0916912015
Tyson Foods, Inc. -Wilkesboro, NC Project: Stormwater Client Sample ID: SW Wilk-02
Attn: James Brown Prism Sample ID: 5080447-02
704 Factory Street Prism Work Order. 5080447
Wilkesboro, NC 28697 Sample Matrix: Water Time Collected: 08/24/15 16:10
Time Submitted: 08/25/15 13:50
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Daterrime ID
Microbiological Parameters
Fecal Collforms 260 HT CFU1100 ml 2 1 'SM9222 D 8125115 14:68 EGC P61,10480
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.Q. Box 240643 - Charlotte, NC 28224.0643
Phone: [phone] - Toil Free Number: 1-800/529-6364 - Fax: [phone] Page 4 of 5

..�.: ���.. _._ �:�-::�'l..__�,.._.,..i�:'.':..�..�.........4.-.............................�...1�,:.,.._.:.:.......u.aLr'i�'rSu_.v�a., 2eTcr.r,sua�r,�iea•f•_�-�.
�� ism CHAIN OF CUSTODY RECORD
� Full -Service Analytical &
Environmental Solutions PAGE�OF- QUOTE ID TO ENSURE PROPER BILLINCx
LABORATORIES. ING
449 Springbrook Road - Charlotte, NC 28217
Phone [phone] - Fax: [phone]
Client Company Name: -A {[T,LI his:jhG.
Report To/Contact Name: 1'mc5 brciov,
Reporting Address: -I0Q V- Ac-- ptj —14f acA
It esboro, M,C. as
rl
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Please ATTACH any project specific reporting (QC LEVEL 111111 IV)
provisions and/or QC Requirements'
Invoice To:
Address:
c
YES'
NO, NIA
5ampies INTACT upon arnvah -
�" ;
`.
-wr
Received ON WET'ICE? 'I
7S:'
� .
RROPER PRESERVATIVES iraicated7
Recelved'V4l1THIN HOCKING TI�tESv � ' '
__�.-
, ' ,_�''`'
CU$TOQY.SEALS INTACT?
1
VOLATILES recd W/OUT HEAQSPACE?
PROPER:CONTAINERS sedF:;
�d.. °C °
TEMP Therm ID Observed:
! Corr�r(j
O
LO
4)
IL
Phone: S�Is,%S'6. 6lVi l Fax (Yes) (No): '%tr-I
purchase Order No./Billing Reference
TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL
Email Address: � eE..�- r]Cow[1 L� i Sort . dam
Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days
Certification: NELAC DOD
FL NC
EDD Type: PDF�----xrceel -' Other
Be
"Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Pre-Approv
Site Location Name: Oh �0.t rY1s, Z rt C
dust
Samples received after 14:00 will be processed next business day.
SC OTHER
N/A
i
Site Location Physical Address: rl k<-A t>r4 S
Turnaround time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO—
tSEE REVERSE FOR TERMS & CONDrrIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES
NO
TIME
MATRIX
SAMPLE CONTAINER
ANALYSIS REQUESTED
PRISM
CLIENT
DATE
COLLECTED
(SOIL,
PRESERVA-
REMARKS
LAB
SAMPLE:SAMPLE:DESG f
COLLECTED
MILITARY
WATER
TYPE
NO.
SIZE
T1VES
ID NO
-
�
HOURS
SLUDGE)E)
SEE BELOW
O
- - l5
W
i Ob L
AA& o3
F�cA
I b 1
W
i
f
i
I
Sampler's Signature Sampled By (Print Name) �14YY�t°�S LIMA))) AK3iation -/_.� Yr f/J2S , •
SD1Y T'+
•
Upon relinquishing, this Oihain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized.
elin ed : (5 gnature Rece
By: Signatu ) D illtarylHours Additional Comments:
i;Slte Arnvat Time --:
Relinq y; gnaturo) R
%
0S
By: ignatur Data 1,Site
Departure lime:
Ralinquis led By: (Slgnatu Received or lP 'sm Lahoratories lB ate I
����
Field Teeh_
..:,. ;:.
G (� ( 1
Mileage:
Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CU)ST DY FALS FOR TRANSPORTATION TO THE LABORATORY. COG Group No.
- -
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC
UN-tyRC,5ElVED AT THE LABORATORY.
U Fed Ex Q UPS ❑ Hood -delivered ' P sm Field Service U Other
J L) U y 'J
NPDES: UST: GFOUNDWATER: I DRINKING WATER: SOLID WASTE: RCRA: CERLANDFILL !!OTHER:
❑NC❑SC ❑NC ❑SC QINC ❑SC 0NC ❑SC ❑NC ❑SC ❑NC❑SC ❑NCCLA ❑SC I ❑NC ❑SCj ❑NC ❑SC
❑ ❑ ❑ I Q ❑ ❑ ❑ . ❑ [[[ ❑
`CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
ORIGINAL

TLy Fl-J
Tyson Foods, Inc.
September 15, 2015
North Carolina Department of Environment, Health and Natural Resources
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617 RECEIVED
SEP 2 4 2015
Subject: General Permit No. NCG060000 CENTRAL FILES
Tyson Farms Inc. DWR SECTION
COC NCG060020
Wilkes County
Dear Madam or Sir:
Tier 2 benchmark requirements have been implemented for monthly monitoring for outfall Wilk-
01 and Wilk-02 for the parameter of fecal coliform.
Tyson Farms Inc. Meet storm water sampling criteria for the month of August 2015. Monthly
(analytical and qualitative monitoring) will continue for these parameter until three consecutive
sample results are below the benchmark values or within benchmark range.
Tyson Foods, Inc. Storm water monthly monitoring. Data receive for PRISM labs indicated
parameters were below the benchmark values.
Tyson Foods, Inc. has made significant improvements to reduce the concentrations of the
parameters of concern.
Please contact me at 336- 838- 2171, extension 3253 should you have any questions.
Sinc rely,
Raymond E. Johnson (Bob)
Complex Manager
(ey)
Tyson Foods, Inc. Fresh Retail Division 704 Factory Wilkesboro, NC, 28697
336-838-2171 Ext: 3476 Fax: [phone] www.tyson,com

STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
GENERAL PERMIT NO. NCG060000 _ SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
CERTIFICATE OF COVERAGE NO.!NCG060003:�> (This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
FACILITY NAME Kao Specialties Americas LLC Co Y Guilford
PERSON COLLECTING SAMPLES RECEINO. 336-878-4357
CERTIFIED LABORATORY Meritech Lab # 165
Lab # FEB 0 3Pj1EXSE SIGN ON THE REVERSE 4
Part A: Specific Monitoring Requirements
CENTRAL FILES
r,MA(P SEC-TION
Outfall
r No.
Date91Wd=005301A9&&0&Qk
Sample
Same
Collected,
mo/dd/.. r
004009ki.
.00 40%i-W
�0 00556� „-
3I61-6.� Vie.
TotalsSusp nded-
rp i
Sofiils,
m /i
�pH,Ciiemical!Qzygen
#
"sSfandard units .WDemaffid;
Ji
ILt,k,
""OtlfandsGrease,
_ ...,,�-=r`%^Y'•MeH
a mg/L
r FecalrColiform;�
.'
�Colomes per 10 .—
t
We ctimark
1001
'ittiin 6y0 93©
�120 _ _'
30 ' _
1000
SDO-2
NO FLOW
NO FLOW
NO FLOW
NO FLOW
NO FLOW
Not required
SDO-3
NO FLOW
NO FLOW
NO FLOW
NO FLOW
NO FLOW
Not required
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X_no
(if yes, complete Part B)
Part B: Vehicle Maintenance Activity Monitoring Requirements
r Outfall
No.
Date
CS15ple Callected,
mo/dd/. r
00556
Oii and Geease01=0
m
530929ft�,Sy
It
Total'SuspendedlSolids, ,�
M. 'IL .
pH,W,i •New
0Standard(units
ivIotor• Oil Usage
Annual, era et aUmo
JB—er c0iU-rk`
-
30
1'00 :_
r�6�0 - 9:`U
;� _ �
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): No flow
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S WU-249-102107
.Page 1 of 2

Y
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
January 29, 2015
(Date)
S WU-249-102107
Page 2 of 2

Kau Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
Enriching lives, in harrn'ony with niture. r
January 25, 2015
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stormwater sampling for the second half of 2015. This report complies with the reporting
requirements specified in North Carolina General Permit #NCG060000.
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the second
half of 2015. No flow is indicated at both stormwater discharge outflows.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Simcox
Manager — Health, Salty, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Eric] (2)
USPS Certified Mailer t17013 1090 0002 4592 4706

GENERAL PERMIT NO. NCG060000
CERTIFICATE OF COVERAGE NO. NCG060003
FACILITY NAME Kao Specialties Americas LLC
PERSON COLLECTING SAMPLES
CERTIFIED LABORATORY Meritech
Part A: Specific Monitoring Requirements
STORMWATER DISCHARGE OUTFALL (SDO)
MONITORING REPORT
Lab # 165
Lab #
SAMPLES COLLECTED DURING CALENDAR YEAR: 2014
(This monitoring report is due at the Division no later than 30 days from
the date the facility receives the sampling results from the laboratory.)
COUNTY Guilford
PHONE NO, 336-878-4357
PLEASE SIGN ON THE REVERSE 4
Outfall
No.
Date
Sample
Collected, - ..
mo/dd/ yr...
00530
00400
00340
00556.
- .31616...
Total Suspended
Solids;
-.iii /L:.
pH,
Standard units
Chemical Oxygen
'Demand,'
_m..
Oil :and Grease,
mglL
Fecal Coliform, _
= Colo,ntes per 100 m1
Benchmark
-'
100
Within 6.0 — 9.0
120
30.
1000
SDO-2
NO FLOW
NO FLOW
NO FLOW
NO FLOW
NO FLOW
Not required
SDO-3
NO FLOW
NO FLOW
NO FLOW
NO FLOW
NO FLOW
Not required
`_
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH, you must implement Tier I or Tier" 2-116-sp n es.
EVE
See General Permit text. JUL 2 8 zB14
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? _ yes _X_no CENTRAL FILES
(if yes, complete Part B) DWQIBOG
Part B: Vehicle Maintenance Activity Monitoring Requirements
Outfall
No
Date
Sample Collected,
moldd/ r
00556
00530..
.00400 .
Oil and Grease,
m /L
Total Suspended Solids,
m /L
pH;
Standard units :.°
New Motor Oil Usage,
Annual average al/mo
Benchmark.
- _
30 .
100 -
60 -`9:0 ;..
Note: If you report a sampled value in excess of the benchmark value, or outside the benchmark range for pH. you must implement Tier i or Tier 2 responses.
See General Permit text.
STORM EVENT CHARACTERISTICS:
Date (first event sampled)
Total Event Precipitation (inches): No flow
Date (list each additional event sampled this reporting period, and rainfall amount)
Total Event Precipitation (inches):
Mail Original and one copy to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
S W U-249-102107
Page 1 of 2

+f
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief,
true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including
the possibility of fines and imprisonment for knowing violations."
July 25, 2014
(Date)
S W U-249-102107
Page 2 of 2

Kao Specialties Americas LLC
243 Woodbine Street • PO Box 2316 • High Point, NC 27261 USA
Phone [phone] • Fax [phone]
July 25, 2014
Director, DWQ Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Sir:
Kao
Enriching Ilves, in harmony with nature.
Attached you will find the Kao Specialties Americas LLC monthly report covering TIER Two
stormwater sampling for the first half of 2014, This report complies with the reporting requirements
specified in North Carolina General Pen -nit #NCG060000.
As noted in the attached report, Kao Specialties Americas LLC was unable to sample in the first half
of 2014. No flow is indicated at both stonnwater discharge outflows.
If you have any questions, please contact me at our offices.
Sincerely,
Patrick B. Stincox
Manager — Health, Safety, & Environmental
Telephone: [phone]
Fax: [phone]
e-mail: [e-mail]
Encl (2)
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